Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $95.49 / $95.49	Facility		$80.79	$95.49	$95.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $160.00 / $160.00	Professional		$113.00	$160.00	$160.00